1542 CAN NERVE SPARING PRESERVE ORGASMIC FUNCTION IN MEN FOLLOWING ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY?

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation1 Apr 20111542 CAN NERVE SPARING PRESERVE ORGASMIC FUNCTION IN MEN FOLLOWING ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY? Sonal Grover, Abhishek Srivastava, Prasanna Sooriakumaran, Robert Leung, Darius A. Paduch, and Ashutosh Tewari Sonal GroverSonal Grover New York, NY , Abhishek SrivastavaAbhishek Srivastava New York, NY , Prasanna SooriakumaranPrasanna Sooriakumaran New York, NY , Robert LeungRobert Leung New York, NY , Darius A. PaduchDarius A. Paduch New York, NY , and Ashutosh TewariAshutosh Tewari New York, NY View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1537AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Erectile dysfunction is a common complication of prostate cancer surgery; the literature regarding orgasmic function is less well established, even though orgasm is of significant importance to overall sexual satisfaction for the majority of men. We sought to investigate orgasmic fucntion in patients undergoing robotic assisted laparoscopic radical prostatectomy (RALP) and the effects of age and nerve sparing on these outcomes. METHODS Between January 2005 and June 2007, 708 patients underwent RALP at our institution. We analyzed postoperative potency and orgasmic outcomes on 408/708 men who were potent, able to achieve orgasm preoperatively and available for follow-up. RESULTS 88.4% (198/224) of men aged ≤ 60 were able to achieve orgasm postoperatively in comparison to 82.6% (152/184%) of men above 60 (p <0.001). 273/301 (90.7%) patients who received bilateral nerve sparing (BNS) during surgery were able to achieve orgasm postoperatively compared to 46/56 (82.1%) patients who received unilateral and 31/51 (60.8%) men who received non-nerve sparing surgery (p <0.001). In men younger than 60 who also underwent BNS, decreased sensation of orgasm was present in 3.2% of men, and postoperative orgasmic rates were significantly better than in men who underwent unilateral or no nerve sparing (92.9% vs. 83.3% vs. 65.4%, respectively; p<0.001). Potency rates were also significantly higher in men ≤60 and in those who underwent BNS. CONCLUSIONS Age and nerve sparing influence recovery of orgasmic and erectile function after RALP. Men ≤60 and those who undergo BNS are most likely to maintain normal sexual function. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e619 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sonal Grover New York, NY More articles by this author Abhishek Srivastava New York, NY More articles by this author Prasanna Sooriakumaran New York, NY More articles by this author Robert Leung New York, NY More articles by this author Darius A. Paduch New York, NY More articles by this author Ashutosh Tewari New York, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...